CME Course Content Proposal Form

These proposals will be considered for ACEP28, Septemberr 17-20, 2028, in Las Vegas, NV.

Proposal deadline = Midnight CST, Sunday, September 17, 2028.

* = Required

Full Name and Credentials*

ACEP Membership Number (A#####), if known

City*

State/Province*

Country*

Postal Code*

Primary Phone

Primary Email*

Which One?

Course Title*

Course Description (Brief)*

Objective #1*

Objective #2*

Objective #3

Tell us why this course is new and different from courses previously presented at an ACEP annual meeting*

Course Format Explanation here...

Number of Faculty Needed*

**A total of 3 speaker suggestions can be made

Speaker Suggestion #1

Speaker 1 Full Name

Speaker 1 Email Address

Speaker 1 Phone Number

Speaker 1 Hospital/University

Speaker 1 Other Areas of Expertise

Speaker Suggestion #2

Speaker 2 Full Name

Speaker 2 Email

Speaker 2 Phone Number

Speaker 2 Hospital/University

Speaker 2 Other Areas of Expertise

Speaker Suggestion #3

Speaker 3 Full Name

Speaker 3 Email Address

Speaker 3 Phone Number

Speaker 3 Hospital/University

Speaker 3 Other Areas of Expertise

Do you agree to the Course Proposal Process?* Yes, I agree to the Course Proposal process

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